Active NPI
Brenda McDaniel, MED
- Professional Counselor
- Monroe, LA
National Provider Identifier
1750751897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PLC6110
- Practice address
- 908 N 3Rd St
Monroe, LA 71201-5844 - Phone
- (318) 325-8748
- NPI assigned
- Oct 1, 2015
- Last updated
- Dec 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 7281 | LA | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Professional Counselor | 101YP2500X | PLC6110 | LA | Primary |
Addresses
Primary practice location
908 N 3Rd St
Monroe, LA 71201-5844
Mailing address
908 N 3Rd St
Monroe, LA 71201-5844
Phone (318) 325-8748
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PLC6110 | Other | LA | LPC BOARD OF EXAMINERS |
| 7281 | Other | LA | LABSWE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PLC6110 | LA | MD | Professional Counselor |
| 7281 | LA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River City Professional Counseling | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Monroe, LA
- NPI 1710169503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544054400000",
"number": "1750751897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 N 3RD ST",
"city": "MONROE",
"state": "LA",
"postal_code": "712015844",
"telephone_number": "318-325-8748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 N 3RD ST",
"city": "MONROE",
"state": "LA",
"postal_code": "712015844",
"telephone_number": "318-325-8748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDANIEL",
"first_name": "BRENDA",
"credential": "MED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-01",
"last_updated": "2018-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "7281",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "PLC6110",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPC BOARD OF EXAMINERS",
"identifier": "PLC6110",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABSWE",
"identifier": "7281",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.